Opportunity ID: 55029

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 6
Posted Date: Jun 07, 2010
Last Updated Date: Jul 01, 2010
Original Closing Date for Applications: Jul 07, 2010
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.
Link to Additional Information: Office of Consumer Information and Insurance Oversight “Full Announcement for FOA”
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

Version History

Version Modification Description Updated Date
As a result of the technological challenges with the Grants.gov website the Office of Consumer Information and Insurance Oversight (OCIIO) will accept an electronic copy of the applications from state applicants through the July 7th, deadline. Please send all the required application materials to Gladys Bohler at Gladys.Bohler@hhs.gov and Jacqueline Roche at Jacqueline.Roche@hhs.gov. If states have already obtained a case number from Grants.gov, please also provide this case number when submitting your application directly to the OCIIO. All applicants will receive confirmation from the OCIIO that their application was received within one business day.

PLEASE NOTE : "The Project Performance Site Location Component Form is a Mandatory Form in the SF424 Family Package and it is required for this FOA submission."

Jul 01, 2010
As a result of the technological challenges with the Grants.gov website the Office of Consumer Information and Insurance Oversight (OCIIO) will accept an electronic copy of the applications from state applicants through the July 7th, deadline. Please send all the required application materials to Gladys Bohler at Gladys.Bohler@hhs.gov and Jacqueline Roche at Jacqueline.Roche@hhs.gov. If states have already obtained a case number from Grants.gov, please also provide this case number when submitting your application directly to the OCIIO. All applicants will receive confirmation from the OCIIO that their application was received within one business day.

PLEASE NOTE : "The Project Performance Site Location Component Form is a Mandatory Form in the SF424 Family Package and it is required for this FOA submission."

Jul 01, 2010
THE ATTACHMENTS SECTION OF THIS FOA HAS BEEN UPDATED TO INCLUDE THE SF424 APPLICATION FORM INSTRUCTIONS AND THE APPLICANT ORGANIZATION’S STEPS TO COMPLETE REGISTRATION. Jul 01, 2010
The FOA RFA-FD-10-999 for the Office of Consumer Information and Insurance Oversight has been updated to include SF424 Family Application Form Instructions and Organization Steps to Complete the Grants.gov Registration Process.

Jun 10, 2010
The modification has been made to update the link to the full announcement on the Office of Consumer Information and Insurance Oversight website. Jun 10, 2010
Jun 09, 2010

DISPLAYING: Synopsis 6

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 6
Posted Date: Jun 07, 2010
Last Updated Date: Jul 01, 2010
Original Closing Date for Applications: Jul 07, 2010
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.
Link to Additional Information: Office of Consumer Information and Insurance Oversight “Full Announcement for FOA”
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

DISPLAYING: Synopsis 5

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 5
Posted Date: Jul 01, 2010
Last Updated Date:
Original Closing Date for Applications:
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.
Link to Additional Information: Office of Consumer Information and Insurance Oversight “Full Announcement for FOA”
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

DISPLAYING: Synopsis 4

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 4
Posted Date: Jul 01, 2010
Last Updated Date:
Original Closing Date for Applications:
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.
Link to Additional Information: Office of Consumer Information and Insurance Oversight “Full Announcement for FOA”
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

DISPLAYING: Synopsis 3

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 3
Posted Date: Jun 10, 2010
Last Updated Date:
Original Closing Date for Applications:
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.
Link to Additional Information: Office of Consumer Information and Insurance Oversight “Full Announcement for FOA”
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

DISPLAYING: Synopsis 2

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 2
Posted Date: Jun 10, 2010
Last Updated Date:
Original Closing Date for Applications:
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year. Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);2. Justifications for unreasonable increases in rates prior to their implementation.The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010. Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC). All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.All successful Cycle I grant awardees will receive $1 million awards. The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.
Link to Additional Information: Office of Consumer Information and Insurance Oversight “Full Announcement for FOA”
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

DISPLAYING: Synopsis 1

General Information

Document Type: Grants Notice
Funding Opportunity Number: RFA-FD-10-999
Funding Opportunity Title: "Grants to States for Health Insurance Premium Review-Cycle I" Office of Consumer Information and Insurance Oversight (OCIIO)
Opportunity Category: Discretionary
Opportunity Category Explanation:
Funding Instrument Type: Grant
Category of Funding Activity: Education
Health
Income Security and Social Services
Other (see text field entitled “Explanation of Other Category of Funding Activity” for clarification)
Category Explanation: PATIENT PROTECTION AND AFFORDABLE CARE
Expected Number of Awards: 51
Assistance Listings: 93.511 — Affordable Care Act (ACA) Grants to States for Health Insurance Premium Review
Cost Sharing or Matching Requirement: No
Version: Synopsis 1
Posted Date: Jun 09, 2010
Last Updated Date:
Original Closing Date for Applications:
Current Closing Date for Applications: Jul 07, 2010
Archive Date:
Estimated Total Program Funding: $51,000,000
Award Ceiling: $1,000,000
Award Floor: $1,000,000

Eligibility

Eligible Applicants: State governments
Additional Information on Eligibility: ALL 51 STATES INCLUDING THE DISTRICT OF COLUMBIA

Additional Information

Agency Name: CMS-Consumer Information & Insurance Oversight
Description: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act of 2010 (PPACA). On March 30th, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws are collectively referred to as the Affordable Care Act. The Affordable Care Act includes a wide variety of provisions designed to promote a high quality, high value, health care system. These include significant grant funding to assist States in working with the Federal Government to implement comprehensive health reform.
One of the first grant programs to be launched is established under Section 2794 of the Public Health Service Act (PPACA Section 1003) entitled, “Ensuring That Consumers Get Value for Their Dollars”. Section 2794, together with several other provisions that take effect this year, are designed to help make private health insurance more accessible and affordable and increase the transparency of the health insurance system by providing new oversight of health insurance companies. Section 1003 of the Affordable Care Act requires the Secretary of the Department of Health and Human Services (HHS), in conjunction with the States, to establish a process for the annual review of health insurance premiums to protect consumers from unreasonable, unjustified and/or excessive rate increases. This requirement takes effect beginning with the 2010 plan year.

Key components of this oversight require insurers to report certain health insurance rate information to both the Secretary and the States in which they operate, including:

1. All increases in rates for health insurance over the prior year that meet the established unreasonable threshold (currently under development);
2. Justifications for unreasonable increases in rates prior to their implementation.

The Secretary will ensure public disclosure of this information and insurers will be required to prominently post the information on their respective Internet websites.

Section 2794 also provides for a program of grants to states to help them improve the health insurance rate review and reporting process. Congress has appropriated $250 million for this grant program for the federal fiscal years (FFYs) of 2010-2014. HHS is authorized to award this money during multiple award cycles to eligible States beginning in FFY 2010.
Federal regulatory guidance is currently under development to establish the statutorily mandated process of annual rate review for health insurance. This will include factors to be used in determining whether or not a proposed rate increase is “unreasonable” and the criteria for evaluating if an unreasonable rate is “excessive or unjustified.” These regulations also will establish criteria for future grant awards to support States’ development and implementation of the review process.

HHS has requested state input through a Request for Information (RFI) in the Federal Register (FR Doc. 2010-8600 Filed 4-12-10) and is working with state insurance commissioners through the National Association of Insurance Commissioners (NAIC).

All States are eligible for the first rate review grants (Cycle I), which is being made prior to the release of the Federal regulatory guidance. In order to receive a grant, an applicant must propose a prospective plan to use grant funds to develop or enhance the state process for health insurance rate review in FFYs 2010 and 2011, including a plan for disclosing rates to the public and the Secretary.
All successful Cycle I grant awardees will receive $1 million awards.
The release of the second grant cycle (Cycle II) solicitation will occur after the release of the Federal regulatory rate review guidance in the fourth quarter of calendar year 2010 and grant awards will be made prior to January 1, 2011. Grant awardees will be required to implement the rate review requirements detailed in regulatory guidance.

Link to Additional Information: GRANT.GOV
Grantor Contact Information: If you have difficulty accessing the full announcement electronically, please contact:

Milton Pitts

Grant Specialist

Phone 301-827-7162
Email:Milton.Pitts@fda.hhs.gov

Folder 55029 Full Announcement-1 -> sf424instructions.pdf

Folder 55029 Full Announcement-1 -> grant to states for health insurance premium review – cycle 1.pdf

Folder 55029 Full Announcement-1 -> instructionssf424b.pdf

Folder 55029 Full Announcement-1 -> instructionssf424a.pdf

Folder 55029 Full Announcement-1 -> organization_steps_complete_registration.pdf

Packages

Agency Contact Information: Milton Pitts
Grant Specialist
Phone 301-827-7162
Email: Milton.Pitts@fda.hhs.gov
Who Can Apply: Organization Applicants

Assistance Listing Number Competition ID Competition Title Opportunity Package ID Opening Date Closing Date Actions
93.511 ADOBE-FORMS-B ADOBE-FORMS-B PKG00019066 Jun 07, 2010 Jul 07, 2010 View

Package 1

Mandatory forms

55029 SF424_2_1-2.1.pdf

55029 PerformanceSite_1_4-1.4.pdf

55029 ObjectiveWorkPlan-1.1.pdf

55029 Project_Abstract-1.1.pdf

55029 Project-1.1.pdf

55029 Budget-1.1.pdf

55029 SF424A-1.0.pdf

55029 SF424B-1.1.pdf

Optional forms

55029 BasicWorkPlan-1.0.pdf

55029 Other-1.1.pdf

2025-07-11T14:54:45-05:00

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